Q: I understand that disclosures of PHI can be made to law enforcement without patient authorization when the patient is suspected of committing a crime. What disclosures are permitted when law enforcement officials are investigating another person of a crime and a patient’s PHI may or may not provide evidence?
Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, reviews the latest guidance and ICD-10-CM reporting for common novel coronavirus (COVID-19) scenarios such as reporting for patients who present for testing with symptoms of COVID-19.
Modifier -22 indicates that the procedural work performed by the provider or surgeon was substantially greater than what is typically required. The application of this modifier allows providers to receive additional reimbursement for a procedural service that was especially challenging, time-consuming, or unusual.
CMS released a new interim final rule with comment period that grants organizations another round of flexibilities to meet the challenges of the COVID-19 public health emergency, including permitting hospitals to bill for telehealth services and loosening restrictions on COVID-19 testing.
CMS issued a waiver on March 13 designed to help hospitals and other healthcare facilities better respond to the surge in demand placed on them by the COVID-19 pandemic. The waiver allows CMS to bypass traditional rules, including Conditions of Participation when necessary, and aims to help organizations move patients through levels of care more quickly to free up needed hospital beds for critically ill COVID-19 patients.
